The experience of financial toxicity among advanced melanoma patients treated with immunotherapy.

PURPOSE To measure financial toxicity and explore its association with quality of life (QOL) in an emerging population of survivors: advanced melanoma patients treated with immunotherapy. DESIGN Cross-sectional survey and medical record review. SAMPLE 106 survivors (39% response). Median time since start of immunotherapy was 36.4 months (range: 14.2-133.9). METHODS The Comprehensive Score for Financial Toxicity measured financial toxicity, and the EORTC-QLQ30 assessed QOL and functioning across five domains. Data were collected online, by phone, or in clinic. FINDINGS Younger patients (<65 years) reported higher financial toxicity (p < .001) than older patients. Controlling for age, financial toxicity was correlated with QOL (p < .001), financial difficulties (p < .001), and EORTC-QLQ30 functioning subscales. CONCLUSIONS Given the demonstrated association between financial toxicity and QOL, our study highlights the importance of addressing financial toxicity, particularly among patients receiving high-cost treatments. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS Providers should educate patients and their caregivers about cost-management techniques, link them with available resources, and provide psychosocial counseling to alleviate related distress.